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A giant pyogenic granuloma in the nasal cavity caused by nasal packing
1Department of Otorhinolaryngology-Head and Neck Surgery, Communication Disorder Institute of Medical Research Center, Korea University College of Medicine, Guro Hospital, Seoul, Korea, hmlee91@hotmail.com
Abstract:
Pyogenic granuloma is a benign, rapidly growing hemorrhagic lesion of unknown origin. This disorder, however, is obscure to many rhinologists, because the nose is a relatively rare location for the lesion. In the practice of otorhinolaryngology, nasal packing is a very common procedure for nasal bleeding and postoperative hemostasis. However, few pyogenic granulomas occurring from nasal packing have been reported in the literature. A 56-year-old man underwent nasal packing with vaseline gauze because of nasal bleeding. Two months later, a dark brown nasal tumor was found in his nasal cavity. He underwent endoscopic endonasal removal of the tumor. The pathology result showed a pyogenic granuloma. This is the third case recorded in the literature of a confirmed pyogenic granuloma occuring as a complication of nasal packing. This uncommon lesion should be considered in the differential diagnosis of a rapidly growing hemorrhagic lesion within the nasal fossa.
Insights
Pyogenic granuloma, a rare nasal lesion, can develop after nasal packing for bleeding. This case highlights the importance of considering this benign tumor in the differential diagnosis of nasal growths.
Area of Science:
- Otorhinolaryngology
- Pathology
Background:
- Pyogenic granuloma is a benign, rapidly growing hemorrhagic lesion of unclear etiology.
- Nasal packing is a common procedure in otorhinolaryngology for epistaxis and postoperative hemostasis.
- Nasal pyogenic granulomas are uncommon, with few reported cases linked to nasal packing.
Observation:
- A 56-year-old male presented with a dark brown nasal tumor two months after undergoing nasal packing with vaseline gauze for epistaxis.
- The tumor was located within the nasal cavity.
- Endoscopic endonasal tumor removal was performed.
Findings:
- Pathological examination confirmed the nasal tumor as a pyogenic granuloma.
- This represents the third reported case of pyogenic granuloma developing as a complication of nasal packing.
- The etiology of pyogenic granuloma remains largely unknown.
Implications:
- This case underscores the need for rhinologists to consider pyogenic granuloma in the differential diagnosis of rapidly growing, hemorrhagic nasal lesions.
- Clinicians should be aware of this potential complication following nasal packing procedures.
- Further research may elucidate the specific mechanisms linking nasal packing to pyogenic granuloma formation.